Medical - Healthcare Information Services
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OPRX vs MCK vs CAH vs HCAT vs HSIC
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Distribution
Medical - Distribution
Medical - Healthcare Information Services
Medical - Distribution
OPRX vs MCK vs CAH vs HCAT vs HSIC — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Healthcare Information Services | Medical - Distribution | Medical - Distribution | Medical - Healthcare Information Services | Medical - Distribution |
| Market Cap | $120M | $90.21B | $43.22B | $108M | $8.13B |
| Revenue (TTM) | $109M | $403.43B | $250.55B | $311M | $13.18B |
| Net Income (TTM) | $5M | $4.76B | $1.56B | $-178M | $398M |
| Gross Margin | 67.3% | 3.6% | 3.7% | 48.7% | 29.1% |
| Operating Margin | 10.7% | 1.5% | 0.9% | -51.7% | 5.8% |
| Forward P/E | 6.8x | 16.7x | 17.1x | 13.5x | 13.2x |
| Total Debt | $5M | $8.61B | $9.35B | $20M | $3.69B |
| Cash & Equiv. | $23M | $3.98B | $3.87B | $51M | $156M |
OPRX vs MCK vs CAH vs HCAT vs HSIC — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| OptimizeRx Corporat… (OPRX) | 100 | 56.7 | -43.3% |
| McKesson Corporation (MCK) | 100 | 464.2 | +364.2% |
| Cardinal Health, In… (CAH) | 100 | 335.8 | +235.8% |
| Health Catalyst, In… (HCAT) | 100 | 5.6 | -94.4% |
| Henry Schein, Inc. (HSIC) | 100 | 116.6 | +16.6% |
Price return only. Dividends and distributions are not included.
Quick Verdict: OPRX vs MCK vs CAH vs HCAT vs HSIC
Each card shows where this stock fits in a portfolio — not just who wins on paper.
OPRX carries the broadest edge in this set and is the clearest fit for growth exposure.
- Rev growth 18.8%, EPS growth 124.5%, 3Y rev CAGR 20.6%
- 18.8% revenue growth vs CAH's -1.9%
- Lower P/E (6.8x vs 13.2x)
- 4.7% margin vs HCAT's -57.2%
MCK ranks third and is worth considering specifically for long-term compounding and valuation efficiency.
- 339.0% 10Y total return vs CAH's 158.8%
- PEG 0.43 vs HSIC's 4.20
- 5.7% ROA vs HCAT's -27.4%, ROIC 74.5% vs -32.9%
CAH is the #2 pick in this set and the best alternative if income & stability and defensive is your priority.
- Dividend streak 20 yrs, beta 0.01, yield 1.1%
- Beta 0.01, yield 1.1%, current ratio 0.94x
- Beta 0.01 vs OPRX's 2.14
- 1.1% yield, 20-year raise streak, vs MCK's 0.4%, (3 stocks pay no dividend)
HCAT lags the leaders in this set but could rank higher in a more targeted comparison.
HSIC is the clearest fit if your priority is sleep-well-at-night.
- Lower volatility, beta 0.72, Low D/E 76.9%, current ratio 1.38x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 18.8% revenue growth vs CAH's -1.9% | |
| Value | Lower P/E (6.8x vs 13.2x) | |
| Quality / Margins | 4.7% margin vs HCAT's -57.2% | |
| Stability / Safety | Beta 0.01 vs OPRX's 2.14 | |
| Dividends | 1.1% yield, 20-year raise streak, vs MCK's 0.4%, (3 stocks pay no dividend) | |
| Momentum (1Y) | +26.1% vs HCAT's -63.6% | |
| Efficiency (ROA) | 5.7% ROA vs HCAT's -27.4%, ROIC 74.5% vs -32.9% |
OPRX vs MCK vs CAH vs HCAT vs HSIC — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
OPRX vs MCK vs CAH vs HCAT vs HSIC — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
OPRX leads in 2 of 6 categories
CAH leads 2 • MCK leads 1 • HCAT leads 0 • HSIC leads 0 • 1 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
OPRX leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
MCK is the larger business by revenue, generating $403.4B annually — 3686.7x OPRX's $109M. OPRX is the more profitable business, keeping 4.7% of every revenue dollar as net income compared to HCAT's -57.2%. On growth, CAH holds the edge at +11.0% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $109M | $403.4B | $250.5B | $311M | $13.2B |
| EBITDAEarnings before interest/tax | $16M | $6.8B | $3.2B | -$110M | $1.1B |
| Net IncomeAfter-tax profit | $5M | $4.8B | $1.6B | -$178M | $398M |
| Free Cash FlowCash after capex | $12M | $6.0B | $4.4B | -$5M | $561M |
| Gross MarginGross profit ÷ Revenue | +67.3% | +3.6% | +3.7% | +48.7% | +29.1% |
| Operating MarginEBIT ÷ Revenue | +10.7% | +1.5% | +0.9% | -51.7% | +5.8% |
| Net MarginNet income ÷ Revenue | +4.7% | +1.2% | +0.6% | -57.2% | +3.0% |
| FCF MarginFCF ÷ Revenue | +10.6% | +1.5% | +1.8% | -1.5% | +4.3% |
| Rev. Growth (YoY)Latest quarter vs prior year | -0.2% | +6.0% | +11.0% | -6.2% | +7.7% |
| EPS Growth (YoY)Latest quarter vs prior year | — | +37.0% | -19.5% | -2.9% | +14.9% |
Valuation Metrics
OPRX leads this category, winning 3 of 7 comparable metrics.
Valuation Metrics
At 19.2x trailing earnings, MCK trades at a 33% valuation discount to CAH's 28.5x P/E. Adjusting for growth (PEG ratio), MCK offers better value at 0.43x vs HSIC's 6.87x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $120M | $90.2B | $43.2B | $108M | $8.1B |
| Enterprise ValueMkt cap + debt − cash | $101M | $94.9B | $48.7B | $77M | $11.7B |
| Trailing P/EPrice ÷ TTM EPS | 23.85x | 19.19x | 28.47x | -0.60x | 21.66x |
| Forward P/EPrice ÷ next-FY EPS est. | 6.84x | 16.66x | 17.09x | 13.52x | 13.25x |
| PEG RatioP/E ÷ EPS growth rate | — | 0.43x | — | — | 6.87x |
| EV / EBITDAEnterprise value multiple | 6.33x | 15.27x | 15.88x | — | 10.90x |
| Price / SalesMarket cap ÷ Revenue | 1.10x | 0.22x | 0.19x | 0.35x | 0.62x |
| Price / BookPrice ÷ Book value/share | 0.95x | 11.63x | — | 0.43x | 1.80x |
| Price / FCFMarket cap ÷ FCF | 6.43x | 14.66x | 23.36x | — | 14.18x |
Profitability & Efficiency
MCK leads this category, winning 4 of 9 comparable metrics.
Profitability & Efficiency
MCK delivers a 3.0% return on equity — every $100 of shareholder capital generates $3 in annual profit, vs $-55 for HCAT. OPRX carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to MCK's 1.10x. On the Piotroski fundamental quality scale (0–9), OPRX scores 8/9 vs HSIC's 4/9, reflecting strong financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | +4.2% | +3.0% | — | -54.7% | +8.2% |
| ROA (TTM)Return on assets | +3.0% | +5.7% | +2.8% | -27.4% | +3.6% |
| ROICReturn on invested capital | +7.1% | +74.5% | +33.8% | -32.9% | +7.1% |
| ROCEReturn on capital employed | +7.6% | +43.1% | +19.2% | -34.0% | +9.8% |
| Piotroski ScoreFundamental quality 0–9 | 8 | 7 | 6 | 6 | 4 |
| Debt / EquityFinancial leverage | 0.04x | 1.10x | — | 0.08x | 0.77x |
| Net DebtTotal debt minus cash | -$19M | $4.6B | $5.5B | -$31M | $3.5B |
| Cash & Equiv.Liquid assets | $23M | $4.0B | $3.9B | $51M | $156M |
| Total DebtShort + long-term debt | $5M | $8.6B | $9.3B | $20M | $3.7B |
| Interest CoverageEBIT ÷ Interest expense | 1.26x | 33.79x | 6.38x | -4.79x | 4.59x |
Total Returns (Dividends Reinvested)
CAH leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in MCK five years ago would be worth $37,043 today (with dividends reinvested), compared to $304 for HCAT. Over the past 12 months, CAH leads with a +26.1% total return vs HCAT's -63.6%. The 3-year compound annual growth rate (CAGR) favors CAH at 31.1% vs HCAT's -50.0% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -48.1% | -10.5% | -10.2% | -33.3% | -7.8% |
| 1-Year ReturnPast 12 months | -35.0% | +7.2% | +26.1% | -63.6% | +2.8% |
| 3-Year ReturnCumulative with dividends | -55.7% | +102.1% | +125.5% | -87.5% | -11.3% |
| 5-Year ReturnCumulative with dividends | -85.7% | +270.4% | +232.0% | -97.0% | -14.6% |
| 10-Year ReturnCumulative with dividends | +104.4% | +339.0% | +158.8% | -96.1% | +5.8% |
| CAGR (3Y)Annualised 3-year return | -23.8% | +26.4% | +31.1% | -50.0% | -3.9% |
Risk & Volatility
Evenly matched — MCK and HSIC each lead in 1 of 2 comparable metrics.
Risk & Volatility
MCK is the less volatile stock with a -0.02 beta — it tends to amplify market swings less than OPRX's 2.14 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. HSIC currently trades 79.3% from its 52-week high vs OPRX's 28.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.14x | -0.02x | 0.01x | 1.93x | 0.72x |
| 52-Week HighHighest price in past year | $22.25 | $999.00 | $233.60 | $5.06 | $89.29 |
| 52-Week LowLowest price in past year | $5.54 | $637.00 | $137.75 | $0.96 | $61.95 |
| % of 52W HighCurrent price vs 52-week peak | +28.9% | +73.7% | +78.6% | +30.0% | +79.3% |
| RSI (14)Momentum oscillator 0–100 | 49.9 | 21.0 | 28.6 | 64.8 | 34.3 |
| Avg Volume (50D)Average daily shares traded | 475K | 782K | 1.8M | 706K | 1.2M |
Analyst Outlook
CAH leads this category, winning 2 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: OPRX as "Buy", MCK as "Buy", CAH as "Buy", HCAT as "Buy", HSIC as "Hold". Consensus price targets imply 164.0% upside for OPRX (target: $17) vs 20.6% for HSIC (target: $85). For income investors, CAH offers the higher dividend yield at 1.11% vs MCK's 0.42%.
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy | Hold |
| Price TargetConsensus 12-month target | $17.00 | $994.86 | $253.38 | $2.50 | $85.43 |
| # AnalystsCovering analysts | 15 | 31 | 33 | 22 | 32 |
| Dividend YieldAnnual dividend ÷ price | — | +0.4% | +1.1% | — | — |
| Dividend StreakConsecutive years of raises | 1 | 18 | 20 | — | 1 |
| Dividend / ShareAnnual DPS | — | $3.07 | $2.04 | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | +1.8% | +4.6% | +10.5% |
OPRX leads in 2 of 6 categories (Income & Cash Flow, Valuation Metrics). CAH leads in 2 (Total Returns, Analyst Outlook). 1 tied.
OPRX vs MCK vs CAH vs HCAT vs HSIC: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is OPRX or MCK or CAH or HCAT or HSIC a better buy right now?
For growth investors, OptimizeRx Corporation (OPRX) is the stronger pick with 18.
8% revenue growth year-over-year, versus -1. 9% for Cardinal Health, Inc. (CAH). McKesson Corporation (MCK) offers the better valuation at 19. 2x trailing P/E (16. 7x forward), making it the more compelling value choice. Analysts rate OptimizeRx Corporation (OPRX) a "Buy" — based on 15 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — OPRX or MCK or CAH or HCAT or HSIC?
On trailing P/E, McKesson Corporation (MCK) is the cheapest at 19.
2x versus Cardinal Health, Inc. at 28. 5x. On forward P/E, OptimizeRx Corporation is actually cheaper at 6. 8x — notably different from the trailing picture, reflecting expected earnings growth. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: McKesson Corporation wins at 0. 43x versus Henry Schein, Inc. 's 4. 20x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.
03Which is the better long-term investment — OPRX or MCK or CAH or HCAT or HSIC?
Over the past 5 years, McKesson Corporation (MCK) delivered a total return of +270.
4%, compared to -97. 0% for Health Catalyst, Inc. (HCAT). Over 10 years, the gap is even starker: MCK returned +339. 0% versus HCAT's -96. 1%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — OPRX or MCK or CAH or HCAT or HSIC?
By beta (market sensitivity over 5 years), McKesson Corporation (MCK) is the lower-risk stock at -0.
02β versus OptimizeRx Corporation's 2. 14β — meaning OPRX is approximately -13148% more volatile than MCK relative to the S&P 500. On balance sheet safety, OptimizeRx Corporation (OPRX) carries a lower debt/equity ratio of 4% versus 110% for McKesson Corporation — giving it more financial flexibility in a downturn.
05Which is growing faster — OPRX or MCK or CAH or HCAT or HSIC?
By revenue growth (latest reported year), OptimizeRx Corporation (OPRX) is pulling ahead at 18.
8% versus -1. 9% for Cardinal Health, Inc. (CAH). On earnings-per-share growth, the picture is similar: OptimizeRx Corporation grew EPS 124. 5% year-over-year, compared to -121. 7% for Health Catalyst, Inc.. Over a 3-year CAGR, OPRX leads at 20. 6% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — OPRX or MCK or CAH or HCAT or HSIC?
OptimizeRx Corporation (OPRX) is the more profitable company, earning 4.
7% net margin versus -57. 2% for Health Catalyst, Inc. — meaning it keeps 4. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: OPRX leads at 10. 7% versus -51. 7% for HCAT. At the gross margin level — before operating expenses — OPRX leads at 67. 3%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is OPRX or MCK or CAH or HCAT or HSIC more undervalued right now?
The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.
By this metric, McKesson Corporation (MCK) is the more undervalued stock at a PEG of 0. 43x versus Henry Schein, Inc. 's 4. 20x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, OptimizeRx Corporation (OPRX) trades at 6. 8x forward P/E versus 17. 1x for Cardinal Health, Inc. — 10. 3x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for OPRX: 164. 0% to $17. 00.
08Which pays a better dividend — OPRX or MCK or CAH or HCAT or HSIC?
In this comparison, CAH (1.
1% yield), MCK (0. 4% yield) pay a dividend. OPRX, HCAT, HSIC do not pay a meaningful dividend and should not be held primarily for income.
09Is OPRX or MCK or CAH or HCAT or HSIC better for a retirement portfolio?
For long-horizon retirement investors, Cardinal Health, Inc.
(CAH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 01), 1. 1% yield, +158. 8% 10Y return). Health Catalyst, Inc. (HCAT) carries a higher beta of 1. 93 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (CAH: +158. 8%, HCAT: -96. 1%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between OPRX and MCK and CAH and HCAT and HSIC?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: OPRX is a small-cap high-growth stock; MCK is a mid-cap quality compounder stock; CAH is a mid-cap quality compounder stock; HCAT is a small-cap quality compounder stock; HSIC is a small-cap quality compounder stock. CAH pays a dividend while OPRX, MCK, HCAT, HSIC do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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